Nepal Last updated: August 2018

CONTENT Basic Socio-demographic Indicators HIV prevalence and epidemiology Risk behaviors Vulnerability and HIV knowledge HIV expenditure National response

BASIC SOCIO-DEMOGRAPHIC INDICATORS Total population (in thousands) 28,514 (2015) 1 Population aged 15-49 (thousands) 14,720 (2015) 1 Maternal mortality ratio (per 100 000 live births) 258 (2015) 5 Percentage of population in urban areas 19 (2015) 2 Antenatal care coverage - At least one visit (%) 68.3 (2014) 7 Crude birth rate (births per 1,000 population) 20.5 (2014) 2 Under-5 mortality rate (per 1,000 live births) 36 (2015) 2 Human development index (HDI) - Rank/Value 145/0.548 (2014) 4 Life expectancy at birth (years) - Male/Female 68/71 (2015) 5 Adult literacy rate (%) 60 (2011) 2 Ratio of girls to boys enrolled at primary level in public and private school (%) 1.08 (2014) 2 GDP per capita (PPP, current international $) 2,458 (2015) 2 Per capita total expenditure on health (PPP int. $) 118 (2012) 3 Sources: Prepared by www.aidsdatahub.org based on 1. UN Population Division. (2015). World Population Prospects: The 2015 Revision - Extended Dataset; 2. World Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved July 2016, from http://data.worldbank.org/; 3. WHO. (2015). World Health Statistics 2015; 4. Palanivel, T., Mirza, T., Tiwari, B. N., Standley, S., & Nigam, A. (2016). Asia-Pacific Human Development Report - Shaping the Future: How Changing Demographics Can Power Human Development; 5. WHO. (2016). World Health Statistics 2016: Monitoring health for the SDGs; 6. World Bank Group. (2016). World Development Indicators 2016 and 7. UNSD. Millennium Development Goals Database - Antenatal Care Coverage Retrieved May 2016, from http://data.un.org/Data.aspx?q=Antenatal+care+coverage&d=MDG&f=seriesRowID%3a762.

HIV prevalence and epidemiology

Estimated number of people living with HIV, new HIV infections and AIDS-related deaths, 1990-2017 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2018). UNAIDS 2018 HIV Estimates

Estimated number of adults (15+) living with HIV and women (15+) living with HIV, 1990-2017 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2018). UNAIDS 2018 HIV Estimates

Key population size estimates, 2016 Year of estimate People who inject drugs (PWID) Male PWID Female PWID 30 868 27 567 3301 2016 Men who have sex with men (MSM) 60333 Female sex workers (FSW) 49 013 Male sex workers (MSW) 18 287 Transgender people (TG) 21 460 Source: Prepared by www.aidsdatahub.org based on Global AIDS Monitoring 2018

HIV prevalence among key populations, 2016-2017 PEOPLE WHO INJECT DRUGS (2017) MEN WHO HAVE SEX WITH MEN (2017) TRANSGENDER PEOPLE (2017) FEMALE SEX WORKERS (2016-2017) Source: Prepared by www.aidsdatahub.org based on Serological surveys and Global AIDS Monitoring 2018

HIV prevalence among key populations by survey area, and by latest available year * HIV prevalence among FSW in Pokhara is for 2011; ** Surveyed MSM includes MSW and non-MSW Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

HIV prevalence among key populations, Kathmandu valley, 2002-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Trends of HIV prevalence among female sex workers by region, 1999-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Trends of HIV prevalence among female sex workers in Kathmandu and Pokhara Valley, 2004 - 2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Trends of HIV prevalence among female sex workers and truckers in 22 Highway Districts, 2003-2012 Source: Prepared by www.aidsdatahub.org based on 1. UNAIDS, UNGASS Country Progress Report, 2010; and 2. 2. Integrated Biological and Behavioral Survey among FSWs and their Clients, 22 Highway Districts, 2003-2012

Trends of HIV prevalence among MSM in Kathmandu valley, 2004-2015 NOTE: Surveyed MSM were further classified into male sex workers (MSW) and non-MSW Source: Prepared by www.aidsdatahub.org based on National Center for AIDS and STD Control. (2016). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Men Who have Sex with Men (MSM) and Transgender (TG) in Kathmandu Valley Round V –2015.

Trends of HIV prevalence among PWID by region, 2002-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

HIV prevalence among male labor migrants, 2006-2015 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS and STD Control. (2016). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Male Labour Migrants in Western and Mid to Far Western Region of Nepal Round V –2015.

HIV prevalence among migrants and wives of migrants, 2010 Source: Prepared by www.aidsdatahub.org based on 1. Success Search Option Pvt. Ltd Nepal, Intrepid Nepal, & Save the Children Nepal. (2010). Integrated Biological and Behavioral Surveillance Survey among Male Labor Migrants: Round 3 - Mid and Far-Western Regions of Nepal; and 2. New ERA, Intrepid Nepal, & FHI. (2010). IBBS Survey among Wives of Migrants in Four Districts of Far-Western Nepal: Round II 2010.

Active syphilis prevalence among FSW in Kathmandu and Pokhara Valley, 2004 - 2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Trends of HIV and STIs prevalence among female sex workers, 22 Highway Districts, 2003-2012 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS and STD Control. (2016). Factsheet 4: Management of Sexually Transmitted Infection (STI), as of Asar 2072 (July 2015), Teku, Kathmandu.

STI prevalence among MSM, Kathmandu valley, 2004-2015 Source: Prepared by www.aidsdatahub.org based on 1) National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Men who have Sex with Men (MSM) and Transgender (TG) People in Kathmandu Valley, Nepal; and 2) National Center for AIDS and STD Control. (2016). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Men Who have Sex with Men (MSM) and Transgender (TG) in Kathmandu Valley Round V –2015.

Trend of active syphilis prevalence among MSM, Kathmandu valley, 2004-2015 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS and STD Control. (2016). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Men Who have Sex with Men (MSM) and Transgender (TG) in Kathmandu Valley Round V –2015: Factsheet.

Hepatitis B and Hepatitis C prevalence among PWID by survey area, 2015 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS and STD Control. (2016). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People who inject drugs . Factsheets for Kathmandu Valley, Eastern Terai and Pokhara

Reported HIV infections by risk group , 2004 – 2015 NOTE: Others category includes children, male partners, prison inmates and unidentified risk groups Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control. (2016). HIV Factsheet 2015 Dec. accessed at http://www.ncasc.gov.np/# on 28th July 2016

Reported HV cases by sub-population, 2015 PLHIV know their status 22,267 Source: Prepared by www.aidsdatahub.org based on Nepal National Centre for AIDS and STD Control. (2016). NCASC_Infographics_2016_Final_Optimized for Web. accessed at http://www.ncasc.gov.np/# on 28th July 2016

Risk behaviours

Proportion of key populations who reported condom use at last sex, 2004-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveys; Nepal Global AIDS Response Progress Reporting and www.aidsinfoonline.org

Proportion of female sex workers who reported condom use with their most recent client, 2003 - 2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance Surveys among Female Sex Workers in Nepal’s 22 Terai Highway Districts, Pokhara Valley and Kathmandu,

Proportion of female sex workers who reported consistent condom use in the last 12 months by type of partner, Kathmandu, 2004 - 2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Proportion of female sex workers who reported consistent condom use in the last 12 months by type of partner, Pokhara Valley, 2004 - 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

Proportion of female sex workers who reported consistent condom use in the last 12 months by type of partner, 22 Terai Highway Districts, 2004 - 2012 Source: Prepared by www.aidsdatahub.org based on 1. Ministry of Health and Population, National Centre for AIDS and STD Control (NCASC). (2012). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal 2012; and 2. Family Health International (FHI). (2009). Integrated Biological and Behavioral Surveillance Survey (IBBS) among Female Sex Workers in 22 Terai Highway Districts of Nepal.

Proportion of female sex workers who reported condom use at last sex and consistent condom use in the last 12 months by partner type, 2011 - 2015 Source: Prepared by www.aidsdatahub.org based on 1) National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011), Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers in Pokhara Valley, Nepal, round IV-2011; 2) Ministry of Health and Population, National Centre for AIDS and STD Control (NCASC). (2012). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal 2012; and 3) National Center for AIDS and STD Control. (2016). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers (FSWs) in Kathmandu Valley Round V –2015.

Proportion of female sex workers who were forced to have sex and physically assaulted in the last 12 months, 2011-2015 Source: Prepared by www.aidsdatahub.org based on 1) National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Pokhara Valleys, round IV, 2011; 2) Ministry of Health and Population, National Centre for AIDS and STD Control (NCASC). (2012). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal 2012; and 3) National Center for AIDS and STD Control. (2016). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers (FSWs) in Kathmandu Valley Round V –2015.

Proportion of surveyed FSW younger than 20 years of age, 2004-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Average duration of sex work among FSW, 2012-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) surveys among Female Sex Workers

Proportion of MSM reported condom use at last anal sex with paid male partner, Kathmandu valley, 2004-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Proportion of MSM who reported consistent condom use in the last month by partner type, Kathmandu valley, 2004-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Proportion of surveyed MSM younger than 25 years and MSM who were married, Kathmandu Valley, 2004-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Proportion of male PWID who reported using sterile injecting equipment at last injection, 2003-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Proportion of male PWID who reported sharing injecting equipment in the last week, 2002-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Proportion of male PWID who reported use of previously used needles and syringes in the last week, 2002-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Proportion of male PWID who reported sex with FSW in the last 12 months, 2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Survey s

Proportion of male PWID who reported condom use at last sex with female sex workers, 2002-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys.

Proportion of male PWID who reported consistent condom use with female sex workers in the last 12 months, 2002-2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) surveys

Proportion of male PWID who reported consistent condom use in the last year by partner type, Kathmandu Valley, 2002-2015 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS and STD Control. (2016). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs (PWIDs) in the Kathmandu Valley Round VI –2015: Factsheet.

Proportion of male PWID who reported consistent condom use in the last year by partner type, Pokhara Valley, 2003-2015 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS and STD Control. (2016). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs (PWIDs) in the Pokhara Valley Round VI –2015: Factsheet.

Proportion of male PWID who reported consistent condom use in the last year by partner type, Eastern Terai, 2003-2015 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS and STD Control. (2016). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs in the Eastern Terai of Nepal Round VI –2015: Factsheet.

Proportion of male PWID who reported consistent condom use in the last year by partner type, Western to Far-Western Terai, 2005-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among IDUs, Western to Far-Western Terai, Round I to Round III, 2005-2009

Average number of years of injecting drugs use among male PWID, 2002 - 2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance Surveys among People who inject drugs in Pokhara, Kathmandu Valley and Eastern Terai

Proportion of surveyed PWID younger than 25 years of age, 2012 - 2015 Source: Prepared by www.aidsdatahub.org based on 1) Ministry of Health and Population, National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs in Eastern Terai Highway Districts of Nepal . Round V-2012; and 2) National Center for AIDS and STD Control. (2016). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People who inject drugs in Kathmandu Valley and Pokhara. Factsheets

Proportion of male migrant laborers who reported condom at last sex with female sex workers, 2006-2015 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control (NCASC). (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Male Labor Migrants in Western, Mid and Far Western Region, Round 5, Nepal 2015.

Proportion of male labor migrants who reported consistent condom use with female sex workers in the last 12 months, 2015 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control (NCASC). (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Male Labor Migrants in Western, Mid and Far Western Region, Round 5, Nepal 2015.

Vulnerability and HIV knowledge

Proportion of female sex workers with comprehensive HIV knowledge, 2006 - 2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Proportion of PWID with comprehensive HIV knowledge, 2007- 2015 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Proportion of MSM with comprehensive HIV knowledge, Kathmandu Valley, 2007 - 2015 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS and STD Control. (2016). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Men Who have Sex with Men (MSM) and Transgender (TG) in Kathmandu Valley Round V –2015: Factsheet.

Proportion of male migrant laborers with comprehensive HIV knowledge, 2006-2015 Source: Prepared by www.aidsdatahub.org based on 1. FHI and USAID. (2006). Integrated Bio-Behavioral Survey among Male Labor Migrants in 11 Districts in Western, Mid and Far Western Regions of Nepal 2006 , 2. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS and National Centre for AIDS and STD Control Nepal. (2008). IBBS among Male Labor Migrants in 11 Districts in Western and Mid to Far-Western Regions of Nepal. Mid to Far Western Region, 2006-2008; and 3. National Center for AIDS and STD Control. (2016). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Male Labour Migrants in Western and Mid to Far Western Region of Nepal Round V –2015: Factsheet.

Proportion of adults (15-49yr) with comprehensive HIV knowledge by gender, 2006 and 2011 Source: Prepared by www.aidsdatahub.org based on 1. Population Division, Ministry of Health and Population. Nepal Demographic and Health Survey 2006, May 2007; and 2. Population Division Ministry of Health and Population, New ERA, MEASURE DHS IFC Macro, & U.S. Agency for International Development. (2011). Nepal Demographic And Health Survey 2011, March 2012

Proportion of young people (15–24yr) with comprehensive HIV knowledge by region and gender, 2011 Source: Prepared by www.aidsdatahub.org based on Population Division Ministry of Health and Population, New ERA, MEASURE DHS IFC Macro, & U.S. Agency for International Development. (2011). Nepal Demographic And Health Survey 2011, March 2012

HIV expenditure

AIDS spending by financing source, 2006-2009 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

AIDS spending by financing source, 2006-2009 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

AIDS spending by category, 2006-2009 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

Proportion of total prevention programme spending on key populations at higher risk, 2006 - 2009 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

Proportion of spending on HIV prevention from domestic and international sources, 2006 - 2009 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

Proportion of spending on care and treatment from domestic and international sources, 2006 - 2009 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

National response

Proportion of key populations reached with HIV prevention programmes, 2011-2015 * MSM data is for the surveyed mixed population of MSM and TG who did/did not sell sex Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance (IBBS) Surveys

Proportion of key populations reached with HIV prevention programmes, 2007-2012 Source: Prepared by www.aidsdatahub.org based on 1. UNAIDS, UNGASS Country Progress Report, 2008 citing IBBS 2005-2007 for Data on MARPs; 2. UNAIDS Report on The Global AIDS Epidemic, 2010; 3. UNAIDS. (2012). Annexes - UNAIDS Report on the Global AIDS Epidemic 2012; 4. Government of Nepal, Ministry of Health and Population National Centre for AIDS and STD Control. (2015). Nepal Country Progress Report 2015 ; and 5. www.aidsinfoonline.org

Proportion of key populations who received an HIV test in the last 12 months and knew their results, 2007-2015 Source: Prepared by www.aidsdatahub.org based on 1. National Centre for AIDS and STD Control Nepal, and UNAIDS. (2008). UNGASS Country Progress Report: Nepal; 2. National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal; 3. Government of Nepal, Ministry of Health and Population National Centre for AIDS and STD Control. (2015). Nepal Country Progress Report 2015; 4. Government of Nepal, Ministry of Health and Population National Centre for AIDS and STD Control. (2015). Nepal Country Progress Report 2015; 5. www.aidsinfoonline.org and 6. Nepal Global AIDS Response Progress Reporting 2016

Number of Needle and Syringe Programme (NSP) and Opioid Substitution Therapy sites (OST), 2010-2015 Source: Prepared by www.aidsdatahub.org based on Government of Nepal, Ministry of Health and Population National Centre for AIDS and STD Control. (2015). Nepal Country Progress Report 2015 and www.ncasc.gov.np

Number of needle/syringes distributed per person who inject drugs per year, 2008-2015 Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009; 2. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010; 3. WHO, UNAIDS, & UNICEF. (2011). Global HIV/AIDS Response Epidemic Update and Health Sector Progress towards Universal Access Progress Report 2011; 4. National Centre for AIDS and STD Control Nepal. (2012). Nepal Global AIDS Response Progress Report, 2012; 5. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; 6. Government of Nepal, Ministry of Health and Population National Centre for AIDS and STD Control. Nepal Global AIDS Response Progress Reporting; and 7. www.aidsinfoonline.org

Number of opioid substitution therapy (OST) sites and number of people on OST, 2010-2015 Source: Prepared by www.aidsdatahub.org based on Government of Nepal, Ministry of Health and Population National Centre for AIDS and STD Control. (2015). Nepal Country Progress Report 2015; and Nepal National Centre for AIDS and STD Control. (2016). NCASC_Infographics_2016_Final_Optimized for Web. accessed at http://www.ncasc.gov.np/# on 28th July 2016

Number of ART sites and number of people on ART, 2000-2017 Source: Prepared by www.aidsdatahub.org based on 1.WHO, UNAIDS, & UNICEF. (2006-2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2006-2010; 2. UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic, 3. UNAIDS.(2012). Global Report: UNAIDS Report on the Global AIDS Epidemic; 4. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; 5. Government of Nepal, Ministry of Health and Population National Centre for AIDS and STD Control. (2015). Nepal Country Progress Report 2015; 6. National Centre for AIDS and STD Control. (2015). Factsheet 6: HIV care and Antiretroviral Therapy (ART) Services in Nepal, as of July 2015; 7. www.ncasc.gov.np , 8. www.aidsinfoonline.org; and UNAIDS. (2018). UNAIDS 2018 HIV Estimates

ART scale up, 2000 - 2017 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2018). UNAIDS 2018 HIV Estimates and Global AIDS Monitoring 2018

Treatment cascade, 2017 Estimated PLHIV PLHIV know their status PLHIV receiving care People on ART Tested for viral load Suppressed viral load* * Number of people on ART who received a viral load test in the past year and have VL of <1000 copies/ml Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2018). UNAIDS 2018 HIV Estimates and Global AIDS Monitoring 2018

HIV testing and treatment cascade, 2017 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2018). UNAIDS 2018 HIV Estimates and Global AIDS Monitoring 2018

Estimated number of adults living with HIV, adults receiving ARVs, and adult ART coverage, 2017 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2018). UNAIDS 2018 HIV Estimates and Global AIDS Monitoring 2018

Estimated number of pregnant women living with HIV, pregnant women receiving ARVs, and PMTCT coverage, 2017 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2018). UNAIDS 2018 HIV Estimates and Global AIDS Monitoring 2018

National data on stigma and discrimination Selected indicators of response from NCPI 2014 Access to justice: Legal services (legal aid or other) NHRI or other mechanisms Civil society perspectives/ratings: 2009 2011 2013 Trend Laws and policies in place to protect and promote HIV- related human rights 4/10  3/10  6/10   Efforts to implement human rights-related laws and policies 4/10 STIGMA INDEX (2011 Data) Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 11% Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific- HIV and AIDS Data Hub based on National Centre for AIDS and STD Control Nepal. Nepal Global AIDS Response Progress Reports 2012 to 2014

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